Investigation of Suicide Attempt, Impulsivity, Psychological Pain and Depression in Earthquake Survivors Affected by the February 6, 2023 Kahramanmaraş Centered Earthquake

Abstract

Background: Our aim was to examine the prediction of impulsivity, psychological pain, depression and anxiety levels in individuals who survived the Kahramanmaraş earthquake to be in the group with a history of suicide attempt. Materials and Methods: Between August 2023 and February 2024, 36 earthquake survivors who attempted suicide were selected to be included in a case group at a psychiatric clinic. Simultaneously, a control group of 36 earthquake survivors, who had not received a psychiatric diagnosis and were matched with the case group in terms of age and gender, was formed Results: 63.9% of the patients who attempted suicide were females. Individuals in the case group experienced more loss of relatives in the earthquake than the control group (p=0.002). In the case group, there was a positive correlation between the non-planning subscale and BDI (Beck Depression Inventory) and Psychache Scale (PS) (r=0.691, p<0.001, r= 0.370 p=0.026, respectively). When analyzed in terms of whether the suicide act was related to the earthquake or not, there was less suicide history and method difference in the cases of earthquake-related suicide (p=0.006, p=0.029, respectively). According to logistic regression analysis, high psychological pain symptom severity predicts that earthquake survivors are in the group with a history of suicide attempt (OR=1.50, 95% CI: 1.17-1.94, p=0.01). Conclusions: Post-earthquake survivors with symptoms of depression, impulsivity, anxiety and psychological pain should be closely monitored for suicide risk and psychosocial interventions should be provided.

Keywords

• Depression
• Earthquake
• Impulsivity
• Suicide
• Psychache

Ethical Statement

The study was approved by Fırat University Non-Interventional Ethics Committee (Decision number: E-13281952-719-222202278 dated 15.08.2023).

Thanks

The authors would like to thank Ayşe Vlok for her help in proofreading and improving our article.

6 Şubat 2023 Kahramanmaraş Merkezli Depremlerden Etkilenen Depremzedelerde İntihar Girişimi, Dürtüsellik, Psikolojik Acı ve Depresyonun Araştırılması

Abstract

Amaç: 6 Şubat 2023 tarihli Kahramanmaraş merkezli depremlerden etkilenen depremzedelerden inti-har girişimi olan grupta bulunmayı öngören dürtüsellik, psikolojik acı, depresyon ve anksiyete düzeyleri-ni incelemekti. Materyal ve Metod: Ağustos 2023 ile Şubat 2024 arasında, intihar girişiminde bulunan 36 depremzede, bir psikiyatri kliniğinde vaka grubuna dahil edilmek üzere seçildi. Aynı zamanda, vaka grubu ile yaş ve cinsiyet açısından eşleştirilen ve psikiyatrik tanı almamış 36 depremzeden oluşan bir kontrol grubu oluşturuldu. Devamında her bir depremzede yarı yapılandırılmış sosyodemografik ve klinik veri formu, Beck Depresyon Ölçeği (BDÖ), Beck Anksiyete Ölçeği (BAÖ), Psikolojik Acı Ölçeği (PAÖ) ve Barratt Dürtüsellik Ölçeğini (BDÖ) doldurdu. Bulgular: İntihar girişiminde bulunan hastaların %63.9'u kadındı. Vaka grubundaki bireyler, kontrol gru-buna göre depremde daha fazla akraba kaybı yaşadı (p=0,002). Vaka grubunda, plan yapmama alt ölçeği ile BDÖ ve PAÖ arasında pozitif bir korelasyon vardı (sırasıyla r=0,691, p<0,001, r=0,370 p=0,026). İnti-har eyleminin depremle ilgili olup olmadığı açısından analiz edildiğinde, depremle ilgili intiharlarda daha az intihar geçmişi ve yöntem farkı olduğu gözlemlendi (sırasıyla p=0,006, p=0,029). Lojistik regres-yon analizine göre, yüksek PAÖ şiddeti, depremzedelerin intihar girişimi geçmişine sahip olma grubunda yer alacağını öngörmektedir (OR = 1,50, %95 CI: 1,17-1,94, p=0,01). Sonuç: Depresyon, dürtüsellik, anksiyete ve psikolojik acı belirtileri gösteren deprem sonrası hayatta kalanlar, intihar riski açısından yakından izlenmeli ve psikososyal müdahaleler sağlanmalıdır.

Keywords

• Depresyon
• Deprem
• Dürtüsellik
• İntihar
• Psikolojik acı

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